Skip to main content

Advertisement

Log in

Use of Hospital-Based Food Pantries Among Low-Income Urban Cancer Patients

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

To examine uptake of a novel emergency food system at five cancer clinics in New York City, hospital-based food pantries, and predictors of use, among low-income urban cancer patients. This is a nested cohort study of 351 patients who first visited the food pantries between October 3, 2011 and January 1, 2013. The main outcome was continued uptake of this food pantry intervention. Generalized estimating equation (GEE) statistical analysis was conducted to model predictors of pantry visit frequency. The median number of return visits in the 4 month period after a patient’s initial visit was 2 and the mean was 3.25 (SD 3.07). The GEE model showed that younger patients used the pantry less, immigrant patients used the pantry more (than US-born), and prostate cancer and Stage IV cancer patients used the pantry more. Future long-term larger scale studies are needed to further assess the utilization, as well as the impact of food assistance programs such as the this one, on nutritional outcomes, cancer outcomes, comorbidities, and quality of life. Cancer patients most at risk should be taken into particular consideration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Coleman-Jensen, A., Nord, M., & Singh, A. (2013). Household food security in the United States in 2012. ERR-155. Retrieved from Economic Research Service website: www.ers.usda.gov/publications/err-economic-research-report/err155.aspx

  2. Coleman-Jensen, A., Nord, M., Andrews, M., & Carlson, S. (2011). Household food security in the United States in 2011. ERR-141. Retrieved from Economic Research Service website: http://www.ers.usda.gov/media/884525/err141.pdf

  3. Dumbauld, S., & Baumrind, N. (2002). Food insecurity, health status and health risk behaviors: California, 2000. Annals of Epidemiology, 12(7), 505.

    Article  Google Scholar 

  4. Kneafsey, M., Dowler, E., Lambie-Mumford, H., Inman, A., & Collier, R. (2013). Consumers and food security: Uncertain or empowered? Journal of Rural Studies, 29, 101–112.

    Article  Google Scholar 

  5. Renzaho, A. M. N., & Mellor, D. (2010). Food security measurement in cultural pluralism: Missing the point or conceptual misunderstanding? Nutrition, 26(1), 1–9.

    Article  PubMed  Google Scholar 

  6. Borjas, G. (1999). Immigration and the food stamp program. Cambridge, MA: Harvard University Press.

    Google Scholar 

  7. Kasper, J., Gupta, S. K., Tran, P., Cook, J. T., & Meyers, A. F. (2000). Hunger in legal immigrants in California, Texas, and Illinois. American Journal of Public Health, 90(10), 1629–1633.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  8. Kersey, M., Geppert, J., & Cutts, D. B. (2007). Hunger in young children of Mexican immigrant families. Public Health Nutrition, 10, 390–395.

    Article  PubMed  Google Scholar 

  9. Quandt, S. A., Shoaf, J. I., Tapia, J., Hernandez-Pelletier, M., Clark, H. M., & Arcury, T. A. (2006). Experiences of Latino immigrant families in North Carolina help explain elevated levels of food insecurity and hunger. Journal of Nutrition, 136, 2638–2644.

    PubMed Central  CAS  PubMed  Google Scholar 

  10. Kaiser, L. L., Melgar-Quinonez, H. R., Lamp, C. L., Johns, M. C., Sutherlin, J. M., & Harwood, J. O. (2002). Food security and nutritional outcomes of preschool-age Mexican-American children. Journal of the American Dietetic Association, 102, 924–929.

    Article  PubMed  Google Scholar 

  11. Kalil, A., & Chen, J. H. (2008). Mothers’ citizenship status and household food insecurity among low-income children of immigrants. New Directions for Child and Adolescent Development, 2008(121), 43–62.

    Article  PubMed  Google Scholar 

  12. Quandt, S., Arcury, T., Early, J., Tapia, J., & Davis, J. (2004). Household food security among migrant and seasonal Latino farmworkers in North Carolina. Public Health Reports, 119, 568–576.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Sullivan, A. F., Clark, S., Pallin, D. J., & Camargo, C. A. J. (2010). Food security, health, and medication expenditures of emergency department patients. Journal of Emergency Medicine, 38(4), 524–528.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Bengle, R., Sinnett, S., Johnson, T., Johnson, M. A., Brown, A., & Lee, J. S. (2010). Food insecurity is associated with cost-related medication non-adherence in community-dwelling, low-income older adults in Georgia. Journal of Nutrition for the Elderly, 29(2), 170–191.

    Article  PubMed  Google Scholar 

  15. Brown, J. L., & Pollitt, E. (1996). Malnutrition, poverty and intellectual development. Scientific American, 274(2), 38–43.

    Article  CAS  PubMed  Google Scholar 

  16. Chilton, M., Black, M. M., Berkowitz, C., et al. (2009). Food insecurity and risk of poor health among US-born children of immigrants. American Journal of Public Health, 99(3), 556–562.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Hamelin, A. M., Habicht, J. P., & Beaudry, M. (1999). Food insecurity: Consequences for the household and broader social implications. Journal of Nutrition, 129(2S Suppl), 525S–528S.

    CAS  PubMed  Google Scholar 

  18. Holben, D. H. (2010). Position of the American Dietetic Association: Food insecurity in the United States. Journal of the American Dietetic Association, 110(9), 1368–1377.

    Article  PubMed  Google Scholar 

  19. Hromi-Fiedler, A., Bermudez-Millan, A., Segura-Perez, S., & Perez-Escamilla, R. (2011). Household food insecurity is associated with depressive symptoms among low-income pregnant Latinas. Maternal and Child Nutrition, 7(4), 421–430.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Huddleston-Casas, C., Charnigo, R., & Simmons, L. A. (2009). Food insecurity and maternal depression in rural, low-income families: A longitudinal investigation. Public Health Nutrition, 12(8), 1133–1140.

    Article  PubMed  Google Scholar 

  21. Reid, M. B., & Allard-Gould, P. (2004). Malnutrition and the critically ill elderly patient. Critical Care Nursing Clinics of North America, 16(4), 531–536.

    Article  PubMed  Google Scholar 

  22. Simmons, L. A., Modesitt, S. C., Brody, A. C., & Leggin, A. B. (2006). Food insecurity among cancer patients in kentucky: A pilot study. Journal of Oncology Practice, 2(6), 274–279.

    Article  PubMed Central  PubMed  Google Scholar 

  23. Strohle, A., Zanker, K., & Hahn, A. (2010). Nutrition in oncology: The case of micronutrients (review). Oncology Reports, 24(4), 815–828.

    Article  PubMed  Google Scholar 

  24. American Dietetic Association. (2007). Oncology evidence-based nutrition practice guideline. Retrieved May 13, 2015. http://www.guideline.gov/content.aspx?id=48765

  25. Fearon, K. C., Voss, A. C., & Hustead, D. S. (2006). Cancer Cachexia Study Group Definition of cancer cachexia: Effect of weight loss, reduced food intake, and systemic inflammation on functional status and prognosis. American Journal of Clinical Nutrition, 83(6), 1345–1350.

    CAS  PubMed  Google Scholar 

  26. Laviano, A., Meguid, M. M., Inui, A., Muscaritoli, M., & Rossi-Fanelli, F. (2005). Therapy insight: Cancer anorexia-cachexia syndrome–when all you can eat is yourself. Nature Clinical Practice Oncology, 2(3), 158–165.

    Article  CAS  PubMed  Google Scholar 

  27. Marin Caro, M. M., Laviano, A., & Pichard, C. (2007). Nutritional intervention and quality of life in adult oncology patients. Clinical Nutrition, 26(3), 289–301.

    Article  PubMed  Google Scholar 

  28. Ravasco, P., Monteiro-Grillo, I., Vidal, P. M., & Camilo, M. E. (2004). Cancer: Disease and nutrition are key determinants of patients’ quality of life. Supportive Care in Cancer, 12(4), 246–252.

    Article  PubMed  Google Scholar 

  29. Santarpia, L., Contaldo, F., & Pasanisi, F. (2011). Nutritional screening and early treatment of malnutrition in cancer patients. Journal of Cachexia, Sarcopenia and Muscle, 2(1), 27–35.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Capra, S., Ferguson, M., & Ried, K. (2001). Cancer: Impact of nutrition intervention outcome-nutrition issues for patients. Nutrition, 17, 769–772.

    Article  CAS  PubMed  Google Scholar 

  31. Haehling, S., & Anker, S. D. (2010). Cachexia as a major underestimated and unmet medical need: Facts and numbers. Journal of Cachexia, Sarcopenia and Muscle, 1, 159–167.

    Article  Google Scholar 

  32. Kern, K. A., & Norton, J. A. (1988). Cancer cachexia. Journal of Parenteral and Enteral Nutrition (JPEN), 12(3), 286–298.

    Article  CAS  Google Scholar 

  33. Gany, F., Lee, T., Ramirez, J., et al. (2014). Do our patients have enough to eat? Food insecurity among urban low-income cancer patients. Journal of Health Care for the Poor and Underserved, 25(3), 1153–1168.

    Article  PubMed  Google Scholar 

  34. Gany, F., Bari, S., Crist, M., Moran, A., Rastogi, N., & Leng, J. (2013). Food insecurity: Limitations of emergency food resources for our patients. Journal of Urban Health, 552–558(90), 3.

    Google Scholar 

  35. Cella, D. F., Tulsky, D. S., Gray, G., et al. (1993). The Functional Assessment of Cancer Therapy Scale: Development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570–579.

    CAS  PubMed  Google Scholar 

  36. United States Department of Agriculture. (2008). US household food security survey module: Three stage design, with screeners. http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/survey-tools.aspx

  37. Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73, 13–22.

    Article  Google Scholar 

  38. Dean, S., & Rosenbaum, D. (2013). SNAP benefits will be cut for nearly all participants in November 2013. http://www.cbpp.org/cms/?fa=view&id=3899

  39. Radford, J. (2013). Food banks to see more traffic as SNAP funding decreases. http://www.wcyb.com/news/food-banks-to-see-more-traffic-as-snap-funding-decreases/22778124

Download references

Acknowledgments

This study was conducted with funding from the New York Community Trust, the CCNY-MSKCC Partnership for Cancer Research, Training, and Community Outreach (U54CA137788), the New York State Health Foundation, and the Laurie Tisch Illumination Fund. The study was granted exempt status by MSKCC’s Institutional Review Board

Conflict of interest

The authors have no conflicts of interest to disclose.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jennifer C. F. Leng.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gany, F., Lee, T., Loeb, R. et al. Use of Hospital-Based Food Pantries Among Low-Income Urban Cancer Patients. J Community Health 40, 1193–1200 (2015). https://doi.org/10.1007/s10900-015-0048-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-015-0048-7

Keywords

Navigation